The Integrated Scientific Journal (RCI) is an interdisciplinary open-access journal from Brazil, founded in 2012, with the mission of promoting the dissemination of scientific knowledge and stimulating innovative initiatives in scientific and professional research and practice, focusing on international dialogue. It publishes manuscripts on a continuous basis, in Portuguese, Spanish, and English, including original research articles, reviews, and experience reports, according to its editorial guidelines, and may launch thematic calls for papers at the discretion of the Editorial Board. RCI adopts rigorous criteria for scientific quality, requiring a consistent theoretical framework, argumentative clarity, theoretical-methodological coherence, and correct language, accepting only original and exclusive manuscripts. Published exclusively in electronic format (ISSN 2359-4632), the journal follows the Diamond Open Access model, with no submission or publication fees (APCs), and uses the abbreviation Rev. Científica Integrada. The editorial process is based on double anonymous peer review, with an initial evaluation between 90 and 120 days and an average processing time of up to five months from submission to publication, with the final decision resting with the Chief Scientific Editor. The journal observes the Uniform Requirements (Vancouver) and the ethical best practices of COPE and CONEP, with an anti-plagiarism policy supported by similarity detection software. Articles are licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC CC BY-NC-ND), allowing deposit in repositories and reuse with proper attribution, and RCI accepts the declared use of Artificial Intelligence, provided it does not compromise scientific integrity and remains under the responsibility of the authors.
Eco-anxiety: between the recognition of suffering and the limits of pathologization
Climate change has intensified its impacts on physical, mental, and social health, making eco-anxiety an increasingly relevant topic in the scientific literature. Characterized by emotions such as fear, sadness, guilt, and hopelessness in response to environmental degradation, eco-anxiety differs from traditional anxiety disorders because it is related to a real and well-documented threat. Studies have linked eco-anxiety to psychological distress while also highlighting its potentially adaptive nature as a coherent response to the climate crisis. Although it has been investigated through psychometric scales and conceptual models, eco-anxiety is not currently recognized as a diagnostic category by the major mental health classification systems. In this context, the editorial discusses the challenge of acknowledging and addressing this form of suffering without automatically framing it as a mental disorder. Interpreting every emotional response to climate change as pathology may shift responsibility for a fundamentally collective, environmental, and political problem onto individuals. Therefore, the editorial argues that health responses should extend beyond clinical care by addressing the structural causes of climate change. Recognizing eco-anxiety as a legitimate expression of human experience in the face of the environmental crisis may help prevent the medicalization of proportionate emotional responses and support integrated strategies to protect population health and well-being.
Copyright (c) 2026 Revista Científica Integrada https://creativecommons.org/licenses/by-nc-nd/4.0
Responsible nursing staff sizing as an essential strategy to ensure safety and quality of care
The editorial argues that the levels of sick people should not be based solely on the proportion of professionals per patient, but rather consider the increasing complexity of care in our health services. The specialization of care units, the growth of the population and the increasing prevalence of chronic illnesses will increase the demands for care and the workload of nurses. In this context, the authors propose a multidimensional approach to people planning, integrating quantitative, qualitative, organizational and political aspects. In addition to the number of professionals, we emphasize the importance of competencies, experience, organizational conditions, availability of resources and the regulatory framework as factors that influence the quality of care and patient safety. It is concluded that the management of sick people must respond to the specific characteristics of each health environment to guarantee safe, efficient and high-quality care.
Teenage pregnancy in the Baixada Santista region: social and educational inequalities and challenges in healthcare
Objective: To evaluate the association between municipal indicators of schooling and prenatal care and the live birth rate among adolescents aged 10 to 19 in the Baixada Santista region from 2020 to 2023. Method: Ecological, descriptive, and analytical study based on secondary public data on adolescent pregnancy reports between 2020 and 2023. The variables assessed were education level, prenatal consultations, and age group. The Mann-Whitney U and Kruskal-Wallis tests were applied to identify differences between two or more groups nonparametrically. Results: In Baixada Santista, there is a higher number of births among adolescents aged 15 to 19, especially in Guarujá, Praia Grande, and São Vicente, with a significant difference between age groups (U = 0.00; p < 0.001). Mothers with 8 to 11 years of education predominate, indicating a relationship between lower education level and higher incidence of births, with no significant variation between municipalities (p = 0.485). Most pregnant women had seven or more prenatal appointments, but there are inequalities in access, with borderline variation between municipalities (p = 0.050). Conclusion: Adolescent pregnancy in Baixada Santista is a multifactorial phenomenon, marked by social inequalities, low educational levels, and limited access to prenatal care. The higher incidence among young people aged 15 to 19 requires targeted and intersectoral public policies.
Profile of children hospitalized for acute viral bronchiolitis in a referral hospital in Amazonas
Objective: to describe the clinical profile of children up to one year of age hospitalized with acute viral bronchiolitis at a referral hospital in the city of Manaus, Amazonas. Method: This is a quantitative, retrospective documentary study based on medical record review. Data were collected between September and December 2024 using a structured questionnaire, with the following main variables: age, sex, current weight, signs and symptoms, treatment, tests, length of hospital stay, and hospital outcome. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used. Descriptive analysis and data organization were performed using SPSS software. Results: forty-five children with a confirmed diagnosis of acute viral bronchiolitis (AVB) caused by respiratory syncytial virus were included. The results revealed a predominance of males, ages one to two months, and weight between 4,000 and 6,000 g. The most common symptoms were cough, dyspnea, and fever. All patients underwent laboratory and imaging tests, with 55.6% receiving nebulized therapy and 51.1% receiving supplemental oxygen. Most were discharged with improvement or recovery after four to seven days of hospitalization. Conclusion: the clinical profile of children hospitalized for AVB in Manaus showed a predominance of males, ages between one and two months, and favorable outcomes, with hospital discharge predominantly after supportive care. Prolonged hospitalizations were associated with the need for transfer to more complex units. Data from longer periods and with a greater number of variables are needed for more comprehensive analyses of information on hospitalized children and strategic planning of care actions.
Analysis of knowledge about cervical cancer: the empirical versus the scientific
Objective: To analyze women’s level of knowledge about cervical cancer. Methods: This is an exploratory, descriptive, and qualitative study, approved by the Research Ethics Committee, conducted with 25 women aged between 25 and 64 years who attended a Health Unit in the Southern District of the city of Manaus, Amazonas, in January 2025. Data collection was carried out through interviews using a semi-structured script and analyzed according to Bardin’s Content Analysis technique. Results: The participants’ statements were analyzed, from which the following categories emerged: “Empirical knowledge prevailing over scientific knowledge in women’s health care” and “Adherence to preventive screening and factors associated with knowledge.” Conclusion: Women’s level of knowledge about cervical cancer is insufficient, particularly regarding symptoms, risk factors, and prevention methods, and these findings contribute to Nursing by identifying gaps and supporting the development of educational strategies aimed at health promotion, prevention, early diagnosis, and humanized care.
Applications of artificial intelligence in point-of-care obstetric ultrasound during prenatal care: a scoping review
Objective: To map the evidence on the use of artificial intelligence in obstetric point-of-care ultrasound during prenatal care. Methods: This scoping review was conducted according to the Joanna Briggs Institute recommendations and reported following the PRISMA-ScR checklist. Searches were performed in PubMed/MEDLINE, Scopus, and the Virtual Health Library, as well as in grey literature sources. The review question was structured using the PCC mnemonic, considering pregnant women, fetuses and/or prenatal care professionals as the population, artificial intelligence applied to obstetric ultrasound as the concept, and point-of-care obstetric ultrasound in prenatal care as the context. Results: A total of 431 records were identified in databases and 34 documents in grey literature, resulting in 17 included studies published between 2019 and 2025. Most studies focused on algorithm development, validation, or technical evaluation. The main applications involved gestational age estimation, fetal biometry, standard plane detection, fetal presentation assessment, placental location, and image quality control. Conclusion: Artificial intelligence applied to obstetric point-of-care ultrasound shows potential to expand access to prenatal imaging, support non-specialist operators, and improve obstetric screening. However, multicenter studies, external validation, and evaluation in real-world care pathways are still needed.
Nutrition practices in Primary Health Care in socially vulnerable contexts: an analysis of interventions
Objective: To report the experience of a nutrition internship in Primary Health Care in a socially vulnerable territory and to analyze care practices developed in the routine of health services. Methods: This is an experience report with a qualitative and descriptive approach, based on a supervised curricular internship in Public Health from the Nutrition program at the Federal University of Pernambuco (UFPE), conducted between August and September 2025 in Family Health Strategy units located in the Santo Amaro territory, Recife, Pernambuco, Brazil. The systematization of experiences was supported by observations, reflective records, and field notes produced during individual nutritional consultations, educational activities, home visits, and participation in multiprofessional activities. Results: The practices revealed that nutritional care in Primary Health Care is constructed through the interaction between dietary guidance, educational actions, and dialogue with the social conditions that influence food practices, while institutional and organizational constraints shape the possibilities for intervention in the territory. Conclusion: The experience indicates that nutrition practice in Primary Health Care involves situated and interprofessional approaches, in which care is produced through the interaction between technical knowledge, social reality, and service organization.
Between Bonds and Inclusion: Social Psychology reflections at an institution supporting people with disabilities
Objective: To analyze the field of Social Psychology based on an observational internship experience, articulating the theoretical knowledge addressed in the classroom with the social dynamics identified in the analyzed context. Methods: This is an experience report developed in the context of the Basic Psychology Internship, carried out between April and May 2026, in an association located in Porto Velho/RO. The experience totaled 40 hours and took place through institutional observation, field activities, and the creation of a field diary during seven visits to the institution. Results: The observed activities, such as welcoming, capoeira, physical education, crafts, and daily life practices developed in the Socio-Occupational Activity Program, highlighted the appreciation of the users' capacities, skills, and potential. The experiences fostered an understanding of the importance of interdisciplinary work, the strengthening of bonds, socialization, and the promotion of autonomy for people with disabilities. Conclusion: The experience made it possible to understand the relevance of Social Psychology in institutional contexts focused on inclusion, articulating theory and practice and fostering an ethical, critical, and sensitive stance towards the observed social demands.
Mental health of the transgender population: an integrative review
Objective: To analyze the mental health of the transgender population, identifying the prevalence and factors associated with illness. Methods: This is a literature review, conducted in the following databases: SciELO, LILACS, BDENF, and MEDLINE, using the respective descriptors: Transgender people AND Mental health AND Mental health care, between the years 2017 and 2025. The selection of articles followed the following inclusion criteria: studies available in full text free of charge in Portuguese, published in the last five years, whose results meet the objectives of this study. Duplicate articles and those that, after full reading, were found not to meet the objectives proposed by the research were excluded. Results: It was identified that monitoring the transgender population is necessary for a good quality of life. Conclusion: Therefore, guidance from health professionals on the mental health of the transgender population is essential.
The role of impulsivity in self-harming and suicidal behavior: An integrative review
Objectives: To verify the influence of impulsivity in the emission of suicidal behaviors and nonsuicidal self-injuries in people from 13 to 25 years old, along with the development of self-control repertoire as a form of prevention, from the perspective of Behavior Analysis. Methods: An integrative research of the literature was conducted in the databases PubMed, SciELO, ScienceDirect and Virtual Health Library, with the use of the keyword “Impulsivity”, which was combined with the keywords “Self-Harm”, “Behavior Analysis”, “Suicide” and “Self-Control”, using search prompts to include studies that met the established selection criteria. The selected articles were empirical and research studies, along with book chapters, published between 2015 and 2025 in the Portuguese and English languages. Results: it was verified that impulsivity is present in many cases of suicidal behaviors and nonsuicidal self-injuries in this age group, but there is no direct and constant correlation between them. Furthermore, a large diversity of conceptions of impulsivity was noted in the literature, and there were few studies regarding protective factors, focusing mostly on risk factors. Conclusion: Though there is no direct correlation, these behaviors are often impulsive, and when identified as such, the encouragement of self-control is a valuable intervention. Therefore, it is recommended that more studies are realized focusing on the functional analysis of nonsuicidal self-injury and suicidal behaviors, and protective factors that could decrease their frequency.
Role of physiotherapy in palliative care in oncology: an integrative review
Objective: To analyze the literature on the role of physical therapy in cancer patients with no chance of survival. Methods: This is an integrative, descriptive review. For this study, the following databases were used: PubMed, Scielo, and BVS, up to June 2025. Articles available in full and published between 2020 and 2025, in Portuguese, English, and Spanish, were included in the selection. One of the search strategies adopted was (physiotherapy) AND (oncology) AND (palliative care) in the databases. Results: A total of 451 articles were found, with only 9 articles included in the final sample. The main interventions found were categorized as: Use of transcutaneous electrical nerve stimulation; Palliative care in primary care; Functional rehabilitation; Therapeutic exercises; Respiratory exercises; Aerobic training; Ethical Issues and Family Support Conclusion: Physical therapy in oncology palliative care proves to be an essential tool for promoting quality of life, alleviating symptoms, and preserving the dignity of patients with no chance of cure.
Impact of sewage coverage on the incidence of diarrheal diseases in Brazil: integrative review
Objective: to analyze the relationship between sanitation coverage and the incidence of diarrheal diseases in Brazil. Methods: integrative review carried out in the PubMed, SciELO and LILACS databases, with articles published between 2020 and 2024. The search strategy was used with the descriptors "sanitation", "diarrheal diseases" and "Brazil", combined by the Boolean operator AND. Observational studies and reviews with epidemiological data were included. Results: 10 studies were selected. It was observed that municipalities with lower sewage coverage had higher hospitalization rates for diarrheal diseases, especially in children under five years of age. Expanding access to sanitation was associated with a significant reduction in these indicators. Conclusion: low sanitation coverage directly contributes to the increase in diarrheal diseases, highlighting the need for public policies aimed at universalizing sanitation.
Global Health Care: Excellence from the RNAO Perspective
The adoption of quality standards in nursing practice is a fundamental strategy for promoting safe, effective, and person-centred care. This article discusses the contributions of the Best Practice Guidelines of the Registered Nurses’ Association of Ontario (RNAO) and the Best Practice Spotlight Organizations (BPSO) movement to strengthening evidence-based practice and quality of care. These initiatives support the implementation of evidence-based clinical recommendations, the development of nursing leadership, the promotion of a patient safety culture, and the continuous improvement of care processes. Furthermore, they emphasize the importance of strategies that ensure the sustainability of changes, such as training clinical leaders, using implementation tools, and monitoring quality indicators. The article highlights that technical excellence must be associated with the humanization of care, recognizing the person as the protagonist of decisions related to their health. It concludes that the transformation of health systems depends on professionals’ daily commitment to incorporating evidence-based practices, ethics, and continuous improvement, making safe, humanized, and high-quality care an essential principle of contemporary healthcare.
Determinants of vaccine adherence and hesitancy in older adults in Brazil: an integrative review
Objective: analyzed factors influencing vaccine adherence and hesitancy among elderly people in Brazil. Method: An integrative review was conducted to answer: “What factors are related to non-adherence and vaccine hesitancy among the elderly in Brazil?” A systematic search was performed in PubMed, SciELO, CAPES Portal, and the Virtual Health Library. The strategy used Health Sciences Descriptors (DeCS) — “Vaccination Coverage,” “Aged”, “Vaccination,” “Vaccine hesitancy” — and Medical Subject Headings (MeSH), combined with the Boolean operator AND. Independent reviewers conducted the selection. Full articles published in the last ten years, in Portuguese, English, and Spanish, were included, following the PRISMA flowchart. Screening occurred in three stages: title reading, abstract review, and full-text analysis. Twelve articles were selected, and data were extracted and categorized using an adapted instrument. Results: Findings were grouped into three categories: (1) impact of health professionals and access to services; (2) sociodemographic profile and post-pandemic context; and (3) influence of social networks. Health professionals were essential to expand coverage through clear guidance and educational campaigns. The post-pandemic period increased insecurity and reinforced the importance of official sources to mitigate hesitancy. Conclusion: Vaccine adherence among the elderly is influenced by socioeconomic, cultural, and informational factors. Strengthening communication between health professionals and the population, alongside educational strategies and combating misinformation, is essential to reduce hesitancy and expand coverage nationwide.
Shared care as a strategy in reproductive planning in Primary Health Care: an experience report
Objective: To report the experience of shared care in reproductive planning (RP) in Primary Health Care (PHC), discussing its contributions to the organization of care and interprofessional action, adopted in three Family Health Units in Palmas, Tocantins. Method: This is a descriptive study, of the experience report type, carried out between August 2024 and December 2025, with users of reproductive age who were jointly attended by a social worker and a psychologist. The services were recorded in systematized reports, considering aspects of reception, educational guidance, reproductive decisions, and multiprofessional integration. The qualitative analysis was performed through thematic analysis, with the construction of categories based on practice and critical reflection on the effects of shared care. Results: Shared care improved the quality of care in reproductive technology, promoting an interdisciplinary approach to reproductive decisions, optimizing internal workflow, expanding access to information, and strengthening user autonomy. Conclusion: Experience has shown that multidisciplinary action enhances comprehensive care, reaffirms reproductive rights as a social right, and strengthens the principles of the Brazilian Unified Health System, in addition to contributing to the training and professional development of residents. These findings indicate that shared care strategies in primary health care can improve the comprehensiveness of care, promote qualified listening, and support more conscious and user-centered reproductive decisions.
Psychology in the intensive care unit: an experience report
Objective: To report the experience of the main practices carried out by the psychologist in the context of the Intensive Care Unit and to analyze their impacts on the care dynamics. Methods: The study focused on the professional practice of a psychologist in a general ICU of a private hospital in the interior of the state of São Paulo, between January 2024 and August 2025. The psychologist had a systematized practice that assisted in their hospital work, recording data regarding demographic characteristics, origin and reason for referral, as well as the complaints presented. Subsequently, individual interviews and direct observation, qualified listening, support, and guidance were carried out. Experience Report: With regard to patients and families, it was possible to initiate and maintain bonds of trust, validate emotions, reflect on the function of the ICU, and promote the reformulation of thoughts, assisting in decision-making and contributing to awareness of diagnoses, prognoses, and treatments. Regarding interaction with colleagues on the healthcare team, it was observed that professionals demonstrated greater willingness to analyze and understand demands related to mental health, adopting an empathetic stance and distancing themselves from uncritical value judgments. Conclusion: The intervention experience demonstrated contributions to improving the quality of care by promoting acceptance, bonding, and guidance on the health-disease process for patients, families, and the team.
Increased menstrual bleeding in women undergoing tubal ligation: a scoping review
Objective: To map whether women undergoing tubal ligation experience increased vaginal bleeding during the menstrual period. Method: Scoping review conducted according to the Joanna Briggs Institute (JBI) guidelines, based on the PICO strategy: P (population) – women of reproductive age who underwent tubal ligation; I (intervention) – implementation of different tubal sterilization techniques; C (comparison) – women without ligation or who underwent alternative techniques; and O (outcome) – changes in menstrual bleeding pattern. The search was conducted in October 2025 in the PubMed/MEDLINE, Scopus, Web of Science, and Virtual Health Library (VHL) databases, using controlled descriptors and free terms in Portuguese, English, and Spanish. Studies published between 2015 and 2025 were included. Results: Of the 224 records initially identified, nine studies met the eligibility criteria. Most studies, mainly retrospective and prospective cohorts, were conducted in countries such as Iran, the United States, Turkey, Pakistan, and India. Although some studies (Iran, 2016; Pakistan, 2020) reported a significant increase in menorrhagia (≈63–67% vs. 22–23% in controls), large U.S. cohorts and Turkish investigations did not observe a significant increase in bleeding after ligation. Overall, findings indicate that increased menstrual bleeding is not universal and appears to depend on factors such as surgical technique, previous menstrual history, and hormonal profile. Conclusion: The relationship between tubal ligation and increased uterine bleeding remains controversial and multifactorial. Evidence suggests that potential menstrual changes result more from individual and gynecological factors than from the procedure itself.
Isabelle Hercília Santiago Madeiro Barros
Copyright (c) 2025 Revista Científica Integrada https://creativecommons.org/licenses/by/4.0
Molecular docking of the phospholipase A2 enzyme with bromine derivatives
Objective: To develop a molecular docking study with the enzyme phospholipase A2 (PLA2) in the presence of compounds analogous to p-bromofenacil bromide with a view to drug repositioning. Methods: The tertiary structure of the target protein from Agkistrodon halys pallas (Viperidae) was obtained from the RCSB PDB database, and the ligands obtained from the PubChem website were 4,4'-dibromobenzyl and 2-bromopropiophenone. After refining the molecules, molecular docking analyses were carried out to evaluate the Gibbs free energy, the distances between atoms, and types of bonds in the active site. Results: The compound 4,4'-dibromobenzyl was found to be related to the active site residue Tyr 52 through hydrophobic interactions. Regarding the compound 2-bromopropiophenone, a hydrophobic interaction with the active site residue Tyr 52 and a hydrogen bond with the residue Gly 32 were observed. Other amino acid residues (Gly 32 and Asp 49) located close to the catalysis region presented hydrophobic interactions. Conclusions: Although the ligand atoms are close to the enzyme's catalytic site, they exhibit hydrophobic interactions and hydrogen bonding. In vitro and in vivo studies are needed to corroborate the theoretical results.
Nurse qualification for the insertion of Intrauterine Devices in gynecological consultations: an experience report
Objective: To report the experience of a training program for nurses on the insertion of Intrauterine Devices (IUDs) during gynecological consultations in Primary Health Care in the state of Piauí. Methods: Experience report, conducted between August 2024 and July 2025, involving 16 nurses from 12 municipalities in Piauí. The program, linked to the Federal Nursing Council and the Regional Nursing Council of Piauí, was structured in 100 hours of instruction, half of which was dedicated to supervised practice. In addition to practical training in IUD insertion, the training included theoretical content on reproductive planning, eligibility for contraceptive use, and management of complications. Results: After the training, a significant fivefold increase in the number of IUD insertions was observed. This number reached 165 insertions in 2024 and 302 by July 2025. In Picos, for example, specialized care performed 26 implants in 2023, while primary health care recorded 50 in 2024 and more than 40 by July 2025. The state as a whole saw an increase from 21 insertions in 2022 to 302 in the first half of 2025. Beyond the quantitative impact, there was a notable increase in women's acceptance of the method, facilitated by the proximity of services, the connection with Family Health Strategy professionals, and the provision of individualized guidance. Conclusion: Training nurses has broadened access to IUDs, decentralized their provision, strengthened women's reproductive autonomy, and consolidated Nursing as a key player in promoting women's health, representing a relevant strategy for professional development and health equity.
Implementation of an Integrative and Complementary Practices office in a Basic Health Unit
Objective: To report the experience of implementing an integrative and complementary practices clinic in a primary health care unit. Method: This is an experience report, carried out in a Primary Health Care Unit in a capital city in northeastern Brazil, in May 2025, conducted by residents of the Multiprofessional Family Health Program. Structured around individual consultations, over six to eight sessions, monitored by the Visual Analogue Scale, directed at patients referred by health professionals from the Unit, conducted weekly, with a protocol of screening, anamnesis, and evaluation of contraindications. This was followed by the application of aromatherapy, foot baths, reflexology, and auriculotherapy practices. Results: After the implementation of the clinic, benefits were evident, according to patient reports, such as improved sleep, relaxation, pain reduction, and strengthened bonds between users and professionals. The experience also broadened the residents' understanding of the health-disease process and overcame barriers of fragmentation and specialization in care. It is noteworthy that the expansion of integrative practices reflects a demand for more humanized, non-pharmacological care, integrated into Primary Care, and helping to reduce the excessive use of medications. Conclusion: The clinic was a successful practice, as through comprehensive and humanized care, the well-being of the users served was achieved, and professionals were better qualified, enhancing the role of the Unified Health System (SUS) as a promoter of comprehensive health. Therefore, greater investment in training and dissemination of these practices in health services is recommended.
Territorialization as a tool for diagnosing the health situation: an experience report
Objective: To report the experience of the territorialization process as a diagnostic tool in Health Care, culminating in the creation of a risk and social vulnerability map of the reference unit. Method: This is a descriptive study, of the experience report type, developed in a Basic Health Unit during the month of April 2025, based on the insertion of residents from a Multiprofessional Residency Program in Family Health. Territorialization was conducted with the support of Community Health Agents, using direct observation, home visits, collection of secondary data from various sources and the Citizen's Electronic Health Record, in addition to the creation of digital maps based on Google Maps. Sociodemographic, epidemiological variables and health conditions were considered, systematized and presented to the unit's teams. Results: The survey identified 16 micro-areas distributed among three Family Health teams, with 13,186 registered users. Of these, 7.9% were hypertensive, 3.1% diabetic, 0.2% bedridden, in addition to records of leprosy (0.06%) and tuberculosis (0.07%). The analysis revealed a predominance of adults (61.3%), followed by young people (29.5%) and the elderly (9.2%), highlighting a lack of actions aimed at the adolescent public, and emphasizing the number of children with Autism Spectrum Disorder and neurodivergences. Conclusion: The implementation of territorialization made it possible to identify vulnerabilities and potentialities of the territory. In addition to supporting the planning of situational health diagnosis, assisting management and professionals in the development of their clinical practices and technical skills aimed at equity, improving health indicators of the territory.
Territorialization in Primary Health Care: Experiences and understanding of socio-environmental processes
Objective: To report the experience of Family Health residents in the territorialization process, analyzing the interrelationships between this process and socio-environmental determinants. Methods: This is a descriptive, qualitative study, in the form of an experience report, developed by a multidisciplinary team of Family Health residents during the territorialization process in a Basic Health Unit in the eastern zone of Teresina (PI), in April 2025. Data collection was carried out through direct observation of social and environmental aspects in the micro-areas of the territory monitored by Community Health Agents, complemented by records in field diaries, analysis of secondary data from e-SUS APS, SINAN and IBGE, in addition to validation meetings with the multidisciplinary team. Results: Changes in relief, unpaved roads, changes in geomorphological processes caused by human actions, areas with steep slopes, and accumulation of solid waste of domestic origin incorporated into the soil in some relief compartments were observed. Regarding the social aspects of the territory, a high rate of informal employment, fragile public transportation, and the presence of violence were observed. Conclusion: The territorialization experience allowed for the identification of relationships between socio-environmental aspects and the population's health, and promoted closer ties between residents and the community, offering practical support for intervention planning.
Territorialization and Situational Health Diagnosis in the Student Experience of Integrated Living in the Community
Objective: To report the experience of students in the second semester of medicine at the Multi-campus School of Medical Sciences of the Federal University of Rio Grande do Norte during the Integrated Living in the Community II program in the process of territorialization and construction of the Situational Health Diagnosis of a Basic Health Unit. Method: This is a descriptive, experience report type of research, which consisted of preparing a map of the catchment area, the situational diagnosis, and a “tree” of the explanatory matrix. Results: It was identified that most of the analyzed catchment population was elderly. The territory had several social facilities, but also points of vulnerability to flooding, drug addiction, alcoholism, and homeless families. These elements allowed students and professionals to recognize the main health needs of the population, with a view to developing actions to overcome these challenges and promote health. Conclusion: The experience demonstrated the relevance of immersing students in the territory, so that they were able to identify vulnerabilities and potentialities for health promotion, prevention, and recovery. It also favored the teaching-learning process, providing the development of communication skills, active listening, decision-making, and intersectoral articulation.
Hilda Maria Gonçalves Cordeiro Gomes Ferreira
Strategic planning to strengthen care for high-risk pregnancy women in primary care: experience report
Objective: To report the experience of developing and implementing a participatory action plan to ensure continued monitoring of high-risk pregnant women by a Family Health Strategy team in Porto Velho, Rondônia. Methods: This is a descriptive study, in the form of an experience report, developed by nursing students from the Federal University of Rondônia, working with a Family Health Strategy team. Situational strategic planning tools were used. Results: The results showed that the difficulty in continuing monitoring of pregnant women referred to high-risk services was the primary problem, related to inefficient communication between levels of care, a lack of understanding of the role of Primary Health Care, and a weak connection between users and the team. The main contributions were the collective agreement on strategies, such as intensifying weekly outreach, continuous scheduling at the Family Health Unit, and the creation of a monitoring spreadsheet, culminating in the team's realignment with its role as care coordinators. Conclusion: it is concluded that the use of situational strategic planning tools enhanced the team's protagonism, qualifying care and strengthening the role of Primary Health Care as a care coordinator, with recommendations for consolidating counter-referral flows and replicating the model in other contexts.
From Training to Practice: A Psychology Internship Report in Primary Health Care
Objective: To critically report an experience of a Supervised Psychology Internship in Primary Health Care (PHC), carried out by students from the Federal University of Amazonas (UFAM) at a Basic Health Unit (BHU) located in the eastern zone of Manaus. Method: The experience report is adopted as the methodological approach, understood as a production of meanings arising from affective displacements, challenges, and everyday practices during the internship. Thematic analysis was articulated based on the Technical Guidelines for the Work of Psychologists in Primary Health Care of the Brazilian Unified Health System (SUS). Results: The main practices included waiting-room activities, individual consultations, interventions in the School Health Program (PSE), and home visits. These experiences reveal an expanded and contextualized form of clinical practice—sensitive to bonds, social contexts, and vulnerabilities. At the same time, they highlight both structural and symbolic limitations of Psychology within PHC, such as competition for space, institutional precariousness, and the persistence of traditional clinical models. Conclusion: It is concluded that Psychology training in PHC requires professional engagement with the local territory and the collective construction of care, promoting an ethical, political, and creative practice.
Validation of an instrument for assessing vaccination status in life cycles
Objective: To evaluate the semantic and content validity of the Vaccination Status Assessment in Life Cycles instrument. Methods: This is a methodological instrument validation study. Data collection took place in 2021 and was divided into two stages: the first focused on content validity and the second on semantic validity. Data analysis consisted of calculating the Content Validity Index and the inter-judge agreement index in the first stage, followed by descriptive analysis using the brainstorming technique in the second stage. The study was submitted to the Research Ethics Committee and received a favorable opinion. Results: The required content validity criteria achieved a satisfactory score, as did inter-judge agreement, with only the language criterion receiving a lower score. Regarding the semantic validity evidence, all professionals reported no difficulty understanding the instrument, emphasizing its potential to minimize the challenges faced by professionals during the vaccination process. Conclusion: The instrument has content and semantic validity, which lends credibility to its use in public health services linked to the Unified Health System that provide immunization.
Civil liability for emotional abandonment: an integrative review of the literature
Objective: To examine the civil liability of parents for emotional abandonment, considering impacts on personality rights and the development of Brazilian case law. Methods: Integrative qualitative review across national legal databases (SciELO, LILACS, CAPES, BDJur/STJ, and Google Scholar), including studies from 2010 to 2024 in Portuguese and English directly addressing civil liability for emotional abandonment. Selection followed PRISMA, yielding seven studies for analysis. Results: Emotional abandonment is identified as a violation of personality rights, supported by the principles of dignity, comprehensive protection, and responsible parenthood. STJ case law remains divided: earlier 4th Panel precedents denied compensation; since 2012, the 3rd Panel has admitted damages, generally requiring proof of harm and causation. Doctrine splits between those recognizing affection as a protected legal interest and those denying a legal duty to love. Conclusion: Civil liability for emotional abandonment has strong constitutional and doctrinal support but faces evidentiary challenges and non-uniform case law. Damages serve compensatory and pedagogical functions without restoring bonds. Normative gaps persist, and more objective criteria for harm assessment are needed.
Lifespan assessment of landfills: a case study in a city in the state of São Paulo.
Objective: To identify and evaluate possible strategies to extend the lifespan of a sanitary landfill in the state of São Paulo. Method: The methodology comprised three stages: characterization of the study area, including data collection on the landfill and demographic and territorial information; characterization and quantification of solid waste, based on the analysis of data obtained from public databases; and evaluation of the landfill’s lifespan, conducted through the relationship between the landfill’s available capacity and the projected waste generation. Literature research on disposal and treatment methods suitable for reducing waste sent to landfills supported the proposal of improvements for the municipality. Result: At the time of the study (2023), projections indicated that the estimated lifespan of the landfill under analysis would extend until 2025. The landfill is in its final operation stage and about to reach saturation. When comparing treatments widely used in Brazil, the most compatible and beneficial for the municipality under study is selective collection and its final destinations: reuse, recycling, and organic matter decomposition. Moreover, these strategies contribute to extending the lifespan of landfills and increasing opportunities for alternative energy sources and income generation. Conclusion: Selective collection demonstrates greater potential for the municipality under study. Although the landfill is about to end its lifespan, such measures remain essential to prevent the rapid saturation of future landfills, requiring environmental education, investments in reverse logistics, and selective collection programs.
Singular Therapeutic Project in mental health for an indigenous adolescent: a report of an interdisciplinary experience
Objective: To report the experience of developing a unique, interdisciplinary, and intersectoral therapeutic project focusing on the mental health of an Indigenous adolescent. Method: This is a descriptive, experience-report study with a qualitative approach. It describes the experience of implementing a Unique Therapeutic Project, carried out from August 2019 to April 2020, among an Indigenous ethnic group in the interior of Pernambuco. Results: The Matrix Support tool was used to develop the Unique Therapeutic Project with an interdisciplinary and intersectoral approach for an Indigenous adolescent with a history of self-harm and suicide attempts. After implementing the four-stage STP, the adolescent's relapses were positively impacted. Conclusion: This experience report highlights the importance of using the Unique Therapeutic Project in Primary Health Care for the Indigenous population, with an emphasis on interdisciplinarity and intersectorality in developing this tool.
Iris Nayara da Conceição Souza Interaminense
Playful strategies in health promotion for preschoolers: an experience report
Objective: To report the experience of using playful strategies in promoting health among preschoolers, from the perspective of a Family Health resident nurse. Method: This is an experiential report conducted in two municipal early childhood education centers in a capital city in northeastern Brazil, from July 2024 to July 2025. Data were obtained through the resident's field diary, capturing subjective impressions of the experiences. The activities followed a structured sequence consisting of three stages: welcoming, development, and conclusion. Results: Activities were carried out on the following themes: personal hygiene, oral health, healthy eating, promotion of a culture of peace, and dengue prevention. Final Considerations: These experiences contributed to the enhancement of professional practice in the areas of planning, development of playful resources, and implementation of health promotion actions for children.
Socorro Adriana de Sousa Meneses Brandão